Organization
MOTHERING MOTHER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEISHA ALEYA SHOCKLEY (OWNER)
(443) 953-0212
Entity
Organization
Contact information
Practice address
7606 KOWEN AVE, SALISBURY, MD 21801-2120
(443) 953-0212
Mailing address
7606 KOWEN AVE, SALISBURY, MD 21801-2120
(443) 953-0212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417364183
—
MD
Enumeration date
12/11/2018
Last updated
12/11/2018
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